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Speech and language by DR.ARSHAD
1.
2.
3. Social interaction and private intellectual
life
Any disturbance due to brain disease-
functional loss more grave than blindness,
deafness and paralysis
4. Symbolic representation of objects, actions
and events
Mirror of higher mental activity
Means of communication between patient
and physician- medium of delicate
interpersonal transaction
5. Developing and using verbal symbols for our
ideas
Transmitting those ideas by written or
spoken word
Facility to use our hands
Both language and manual dexterity are
functions of dominant hemisphere
6. Seen in other animals – by vocalization or
gestures
It is a feeling or reaction of that moment
Earliest modes of emotional expression
appear in infancy
Emotional expression is well developed in
human infants even when cerebrum is
immature
7. Utterancesused to express joy, anger, fear
are retained even after destruction of all
language areas in the dominant hemisphere
8. Essence of language
Means of transferring ideas from one person
to another
Learned – subject to social and cultural
influences of the environment
Learnt only after nervous system has
attained a certain level of maturity
9. involves
comprehension,
formulation and transmission of ideas and
feelings
using verbal symbols, sounds, gestures
their sequential ordering according to
accepted rules of grammar
11. Derangement of language reflects an
abnormality of brain – specifically the
dominant hemisphere
Speech disorder may have a similar origin,
but not necessarily; it may be a result of
abnormalities in different parts or
extracerebral mechanisms
12. Speechrefers to articulation and phonetic
aspects of verbal expression
13. Exophasia = external speech
Expression of thought by spoken or written
words, comprehension of spoken or written
words of others
Almost continuous when humans gather
14. Introphasia = internal speech
Silent process of thought and formulation in
our minds of unspoken words
15. Arcuate fasciculus connects sensory and
motor speech areas
Short association fibres connect Broca’s area
with lower part of motor cortex that
innervates muscles of lips, tongue and
pharynx
16. Perisylvian cortical areas connected to
2. Striatum, thalamus
3. Corresponding areas in non- dominant
hemisphere via corpus callosum and anterior
commissure
17. Modulative aspects of language
Prosody
Melody of speech
Its intonation, inflection, and its pauses
All these have emotional overtones
Prosody and gestures accompanying them
enhance the meaning of spoken word
18. Speech is endowed with richness and vitality
Aprosody is seen in lesions involving inferior
division of right Middle cerebral artery